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General NPI Number Information
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NPI Number | 1205426285
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Entity Type | Organization
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Legal Business Name | PUSHTI CORPORATION
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 39872 LOS ALAMOS RD STE A10
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City | MURRIETA
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State | CA
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Zip | 92562-5871
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Country | US
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Telephone | 951-677-1114
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Fax | 951-677-1121
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Provider Business Mailing Address
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Address Line | 39872 LOS ALAMOS RD STE A10
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City | MURRIETA
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State | CA
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Zip | 92562-5871
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Country | US
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Telephone | 951-677-1114
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Fax | 951-677-1121
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Authorized Official
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Title or Position | PRESIDENT
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Name | BHAVESHKUMAR RAKHOLIA
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Credential |
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Telephone | 951-677-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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